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Your Journey.
Your Family.

At Sher Fertility Solutions, we understand that each patient is unique. Everything we do is customized to you and your specific needs.

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Your Trusted Fertility Clinic in New York, NY

Latest videos

Sher Fertility Solutions IG Live – Staying sane during IVF – 3 expert tips

Medical Director, Dr. Drew Tortoriello, shares his top tips to help you on your IVF journey.

Whether this is your 1st round, or you’ve been here before, Dr. Tortoriello shares advice from holistic wellbeing and mindset to injection tips.

Dr. Geoffrey Sher on Endometriosis on The Egg Whisperer Show

Dr. Sher discusses “Treating Endometriosis Related Infertility” with Dr. Aimee Eyvazzadeh.

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SFS consistently provides the utmost personal, compassionate and state-of-the-art care.

Our physicians consult one-on-one with each family and take pride in the relationships built with our patients, we put you first.

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Our clinical care team of fertility specialists will be available to you all day, every day.

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Ask Our Doctors

Dear Patients,
I created this forum to welcome any questions you have on the topic of infertility, IVF, conception, testing, evaluation, or any related topics. I do my best to answer all questions in less than 24 hours. I know your question is important and, in many cases, I will answer within just a few hours. Thank you for taking the time to trust me with your concern.

– Geoffrey Sher, MD

I Have a Question

Risk of fertility meds

Name: Marcella J

February 5, 2023
Hello Dr, I have pcos and I am 40 years old. I have an 8 year old and over the years, I’ve been through 7 rounds of timed intercourse with ovidrel with no success. My doctor is recommending a round of IUI next with injectibles (rekovelle in lower doses) before moving onto a round or… Read More »

Answer:

Ever since January 1993 when a study was reported by researchers at Stanford University suggesting that the use of fertility agents increased the risk of ovarian cancer, there has been tremendous concern and anxiety among women who use fertility drugs. At first the findings seemed well founded because intuitively it made biological sense that fertility drugs might promote cancer because they increase the number of ovulations a woman has. And so the studies received wide public attention. It subsequently turned out that this study which was based on, data compiled from 12 retrospective studies on ovarian cancer patients done in the late seventies and early eighties was seriously flawed for the following reasons:

  • While, retrospective (trohoc) studies have value in identifying an area of relevance for subsequent evaluation they are inadequate for reaching definitive conclusions. The only valid way to conclusively determine whether there is a link between prior use of fertility drugs and ovarian cancer would be through prospectively controlled statistical studies that compare the risk of ovarian cancer in infertile women who undergo ovarian stimulation with infertile women who do not.
  • Infertile women who spend more than five years trying to conceive have about a 3 times higher risk for ovarian cancer than do fertile women. This is especially true when the infertility is due to absent or dysfunctional ovulation. Prior to the 90’s when the era of ovulation induction for intrauterine insemination (IUI) and IVF began to take off , the commonest indication for the use of fertility drugs was to induce  ovulation in women who were not ovulating at all or normally. That all changed as more and more normally ovulating women started having IUI and IVF. Today, in 1st world countries, the number of normally ovulating women who receive fertility drugs exceeds those who receive such treatment because of absent or abnormal ovulation.  Thus the emphasis has changed dramatically and with it, the risk of ovarian cancer has declined commensurately.
  • Animal studies suggest that in contrast to gonadotropins, clomiphene citrate might after long and sustained usage, be carcinogenic. Since the 1993 Stanford University study data was derived at a time when most women undergoing COH were receiving clomiphene citrate (rather than gonadotropins), the possibility exists that the higher incidence of ovarian cancer  might at least in part be due to this factor.
  • The 1993 report did not take into account that pregnancy itself has a protective effect against the development of ovarian cancer. This means that those women who in fact conceived following the use of fertility drugs might through the occurrence of pregnancy have reduced their risk of subsequently getting ovarian cancer.

Most important is the fact that several large prospective studies have now refuted the existence of a link between the use of gonadotropins and ovarian cancer. On the other hand, there does appear to be an association between ovarian cancer and certain causes of infertility itself, such as endometriosis.

While the case is still out with regard to whether or not in humans the prolonged and repeated use of clomiphene citrate increases the risk of ovarian cancer, when it comes to the use of gonadotropins for controlled ovarian stimulation (COS) women can in my opinion, breathe easy.

ADDITIONAL INFORMATION:

I am attaching online links to two E-books which I recently  co-authored with  my partner at SFS-NY  (Drew Tortoriello MD)……. for your reading pleasure:

1.From In Vitro Fertilization to Family: A Journey with Sher Fertility Solutions (SFS) “

https://sherfertilitysolutions.com/sher-fertility-solutions-ebook.pdf

  1. “Recurrent Pregnancy Loss and Unexplained IVF Failure: The Immunologic Link

https://drive.google.com/file/d/1iYKz-EkAjMqwMa1ZcufIloRdxnAfDH8L/view

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Read Complete Answer

BMI limit

Name: Christie C

February 3, 2023
Is there a bmi limit for IVF treatment?

Answer:

Not really!

ADDITIONAL INFORMATION:

I am attaching online links to two E-books which I recently  co-authored with  my partner at SFS-NY  (Drew Tortoriello MD)……. for your reading pleasure:

1.From In Vitro Fertilization to Family: A Journey with Sher Fertility Solutions (SFS) “

https://sherfertilitysolutions.com/sher-fertility-solutions-ebook.pdf

  1. “Recurrent Pregnancy Loss and Unexplained IVF Failure: The Immunologic Link

https://drive.google.com/file/d/1iYKz-EkAjMqwMa1ZcufIloRdxnAfDH8L/view

………………………………………………………………..

 

Read Complete Answer

Fertility Inducing Medications

Name: Audrey V

February 2, 2023
Hello! Do you use BMI as a metric for prescribing fertility inducing medication (Clomid/letrozole)? If so, what is the maximum BMI allowed? Thank you!

Answer:

No!  By and large, I do not!

Geoff Sher

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ADDITIONAL INFORMATION:

I am attaching online links to two E-books which I recently  co-authored with  my partner at SFS-NY  (Drew Tortoriello MD)……. for your reading pleasure:

1.From In Vitro Fertilization to Family: A Journey with Sher Fertility Solutions (SFS) “

https://sherfertilitysolutions.com/sher-fertility-solutions-ebook.pdf

  1. “Recurrent Pregnancy Loss and Unexplained IVF Failure: The Immunologic Link

https://drive.google.com/file/d/1iYKz-EkAjMqwMa1ZcufIloRdxnAfDH8L/view

………………………………………………………………..

 

Read Complete Answer

From Our Patients

Hi- I happily recommend Dr. Sher and his team. He came recommended to me by my sister after I had a negative experience with another clinic close by me. I didn’t think I wanted to travel to attempt to freeze embryos/eggs but it ended up being a better choice to go with a better Dr and team.

Michelle L

Sacramento, CA

Just couldn’t let a day go by without expressing my gratitude and sincere thanks to the amazing Dr. Drew and his team for their dedication to my personal care 5 years ago as a 45 year old Mom-to-be! Our Daughter is our world and we’re so blessed that Dr. Drew and his team cared for us on our journey. We highly recommend Dr. Drew and his team!

Suzanne D

New York

I cannot recommend Dr. Tortoriello and his team at Sher more highly. Dr. T is an excellent doctor, very kind, compassionate, patient, always listens to what you have to say including answering many questions during each visit, is very responsive to e-mails, and did not let us give up hope after being unable to conceive after about 5 years and a few IVF attempts.

Gina

NYC

Why Patients Love SFS